Update on E/M Documentation Guideline Implementation

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After consideration of provider comments and questions, WPS Medicare Policy staff is offering clarification of the information contained below. WPS recommends that providers follow the evaluation and management documentation guidelines as specified in CMS' Evaluation and Management Services Guide, Section I. C.3 for Review of Systems information. This guide can be found on CMS' Website at:
h ttp://www.cms.hhs.gov/MLNProducts/downloads/
eval_mgmt_serv_guide.pdf
adobe portable format document258KB. CMS has made clear that this guide is offered as a reference tool and does not replace content found in the 1995 Documentation Guidelines for Evaluation and Management Services and the 1997 Documentation Guidelines for Evaluation and Management Services. During the review process, WPS Medicare will continue to apply whichever guideline that is most advantageous to providers.